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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ` <br /> Date Received '� <br /> Phone Contact for Permttting — <br /> Owner's Name �� ( (�J�� Owner Phone Number $��r 4°�SJ 5��O�O <br /> Owner's Address ��`f�q L���� �- �V�'1uG Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3���a �—i<< (�� ��uc� �h r�'1i((s� �2. 335�� LOT# � <br /> SUBDIVISION C7�L�.nd- �b��'�bh5 �f'1• 2 pqRCEL ID# ���Z5"Z�- 61�f o- b ODOb— (�q p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> I - INORK PROFOSED NEW CONSTR ADD/ALT 0 SIGN � Q DEMG'LISH <br /> B INSTALL e REPAIR [v�' jZ�ibFinc� <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL [� 0 1 c� �n� <br /> DESCRIPTION OF WORK I e0� 0�� 0�'ZC� ('t— I�Ob-F ZO S • �firn.�D �,(j-� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ 5 rjb�� VALUATIONOFTOTALCONSTRUCTION <br /> OELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> I 'f�/ <br />, �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ' v <br /> �t' <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER ��Q �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � U <br />�, BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />' Address License# <br /> ELECTRICIAN COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � COMPANY ��m� �'�n � �G . <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address 3 6��3 5►�- 5�� �,�ph�'rt'l����s �Ii., ?j3 5�(( License# C CC �3 z 55 0� <br /> _ RESIDENTIAL __ Attach(�Plot Plans;_(2)sets of Building P_lans;_(1)set of Energy Forms;R-O-1N Permit for new.constructiors,- - <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constniction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) ; <br /> Reroofs if shingles ' Sewers Service,Upgrades FJC' Fences(Plot/Survey/Footage) -�. , <br /> Driveways-Not over�Coun4er if on public roadways..needs ROW � _ _, " <br />